CENTRO DE SALUD DE LARES,INC.
NPI: 1639340631
· QUEBRADILLAS, PR 00678
· VA Clinic/Center
· NPI assigned 03/18/2008
$235K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: RODRIGUEZ, DAMARIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,450 |
$5K |
| 2020 |
1,894 |
$8K |
| 2021 |
9,499 |
$107K |
| 2022 |
7,236 |
$69K |
| 2023 |
3,996 |
$29K |
| 2024 |
2,577 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,379 |
3,061 |
$41K |
| 90461 |
|
2,444 |
1,760 |
$36K |
| 0001A |
|
571 |
534 |
$20K |
| 0002A |
|
483 |
453 |
$18K |
| 0003A |
|
407 |
404 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,725 |
1,540 |
$14K |
| 0004A |
|
328 |
324 |
$13K |
| 90686 |
|
3,633 |
2,554 |
$11K |
| 90651 |
|
1,611 |
1,173 |
$9K |
| 0072A |
|
224 |
224 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
736 |
661 |
$8K |
| 0071A |
|
176 |
172 |
$7K |
| 90670 |
|
1,297 |
885 |
$5K |
| 0012A |
|
99 |
99 |
$4K |
| 90716 |
|
680 |
498 |
$4K |
| 0011A |
|
94 |
90 |
$3K |
| 90620 |
|
695 |
480 |
$3K |
| 90707 |
|
605 |
439 |
$2K |
| 90715 |
|
688 |
473 |
$2K |
| 90633 |
|
650 |
460 |
$2K |
| 90734 |
|
502 |
280 |
$1K |
| 90680 |
|
342 |
192 |
$1K |
| 90696 |
|
194 |
140 |
$858.36 |
| 90698 |
|
293 |
184 |
$714.00 |
| 0031A |
|
17 |
17 |
$680.00 |
| 90647 |
|
148 |
116 |
$570.03 |
| 90733 |
|
224 |
219 |
$452.00 |
| 90621 |
|
98 |
73 |
$392.65 |
| 90697 |
|
121 |
102 |
$338.58 |
| 91307 |
|
399 |
385 |
$320.00 |
| 90723 |
|
91 |
91 |
$320.00 |
| 90732 |
|
12 |
12 |
$128.14 |
| 90658 |
|
40 |
40 |
$105.69 |
| 90674 |
|
43 |
33 |
$103.66 |
| 90714 |
|
30 |
25 |
$84.00 |
| 90656 |
|
33 |
33 |
$25.09 |
| 90623 |
|
13 |
13 |
$0.06 |
| 91303 |
|
17 |
17 |
$0.01 |
| 90619 |
|
305 |
265 |
$0.00 |
| 90677 |
|
171 |
171 |
$0.00 |
| 91301 |
|
197 |
194 |
$0.00 |
| 91300 |
|
1,837 |
1,662 |
$0.00 |